A Trial of effectIveness of a Smart Sensor for Continence Care: the ARCTICC Study

Inclusion Criteria: * Nursing homes: A facility which: * provides care for residents over the age of 65 years * has an existing policy for continence care * is registered with the appropriate Provincial authorities * engages in recording of the RAI- MDS v2.0 * Residents: Nursing home residents over the age of 65 requiring a continence assessment upon entry to the nursing home or requiring a reassessment because of either a change in clinical status or provincial requirement shall be eligible for entry Exclusion Criteria: * Residents * at the end of life, * with profound behavioural disturbances likely to render the use of the Tena Identifi system impractical * an identifiable, potentially reversible cause for their urinary incontinence (e.g.: acute urinary tract infection) * with double incontinence dominated by faecal incontinence * Staff and Managers - Staff who did not take the training on the Identifi system or managers whose units that did not participate in the study will be ineligible for the focus group.